New Walker'S Professional Pharmacy Ltc

LBN: Advanced Rx Llc
New Walker'S Professional Pharmacy Ltc is an health care organization with primary practice located at 838 4Th Avenue , Lake Odessa MI 48849. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advanced Rx Llc can be contacted via phone (616) 374-3190, or through Naserdean, Fadi via phone (313) 680-3000.

Contact Information

Primary practice address
838 4Th Avenue Lake Odessa MI 48849
Phone: (616) 374-3190
Fax: (616) 374-0921
Website:
Map and Directions
Authorized official contact:
Name: Naserdean, Fadi PHARMD, MD
Phone: (313) 680-3000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301005445 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1275641649
LBN Legal business name Advanced Rx Llc
DBA Doing business as New Walker'S Professional Pharmacy Ltc
Authorized official Naserdean, Fadi PHARMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2006
Last updated Aug 16th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275641649 NPPES
Michigan MEDICAID 021935001
Michigan Other 2175188

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